| NPI | 1487120374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALENA RUSAW President 916-416-7287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-07-25 |